Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | AP30002883 | WA |
NPI | 1013009687 |
---|---|
Provider Name | Rick Hahn |
First Address | Tacoma, WA 98415-0299 |
Second Address | Tacoma, WA 98405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 08/07/2007 |